ct引导下腹腔神经丛毁损术治疗癌性腹痛疗效.docVIP

精品论文 参考文献 CT引导下腹腔神经丛毁损术治疗癌性腹痛疗效 DOI：10.7504/nk2016010203 中图分类号：R587.1 文献标识码：A 　　摘要：目的 综合分析CT引导下腹腔神经丛毁损术治疗癌性腹痛（Cancerous abdominal pain）的临床效果，为治疗癌性腹痛患者提供科学的数据参考。方法 选取在我院2015年4月-2016年2月收治的癌性腹痛患者临床资料23例作为研究对象，所有患者均在CT引导下实施腹腔神经丛毁损术。采用SPSS20.0统计学软件进行统计学分析23例患者接受腹腔神经丛毁损术术后第1周、第3周、第7周、第11周的VAS（视觉模拟评分法）评分、生活质量评分以及吗啡用量。结果 治疗前 以及术后第1周、第3周、第7周、第11周的VAS评分、生活质量评分、吗啡用量比较有统计学意义（Plt;0.05），术后第1w疼痛缓解率为95.65%（22/23），术后第3w疼痛缓解率为86.96%（20/23）。结论 CT引导下腹腔神经丛毁损术治疗癌性腹痛的临床效果较为理想。 　　关键词：CT引导下；腹腔神经丛毁损术；癌性腹痛；临床效果 　　Efficacy of CT guided celiac plexus lesion in the treatment of cancer pain 　　Zang Yan1,Wang Yingfeng2,Nan Ping3,Zhang Xiaoxiao3,Wei Yanhong3 　　[Abstract] Objective To analyze the clinical effect of CT guided celiac plexus lesion in the treatment of abdominal pain Cancerous, and to provide scientific data for the treatment of patients with cancer pain. Methods The clinical data of 23 patients with carcinoma of abdominal pain admitted in our hospital from April 2015 to February in were selected as the research subjects. All patients were treated with CT guided celiac plexus lesion. The spss20.0 statistical software for statistical analysis 23 cases of patients who underwent resection of celiac plexus mutilation after 1 week, 3 weeks, 7 weeks, 11 weeks of vas (visual analogue score) score, quality of life score and dosage of morphine. Results Before treatment and after 1 week, 3 weeks, 7 weeks, 11 weeks of VAS score, quality of life score and dosage of morphine compared with statistical significance (P lt; 0.05). After operation the 1W pain remission rate was 95.65% (22 / 23). After operation the 3W pain remission rate was 86.96% (20 / 23). Conclusion The clinical effect of CT guided celiac plexus lesion in the treatment of abdominal pain is more ideal. 　　[Key words] CT guided; celiac plexus lesion; malignant abdominal pain; clinical effect 　　恶性肿瘤患者实施有效的镇痛药物以及镇痛方法等能够在一定程度上提高患者的终末期生活质量，腹腔神经丛毁损术是一种姑息治疗方法，对于一些不能够手术的癌性腹痛患者而言具有较为理想的治疗效果[1]。笔者将根据相关工作经验，综合分析CT引导下腹腔神经丛毁损术治疗癌性腹痛的临床效果，为